NPIMap

Organization Active NPI

SNKS Enterprises LLC

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
National Provider Identifier
1497367262
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SNKS ENTERPRISES LLC
Practice address
77 S Dobson Rd Ste 2
Chandler, AZ 85224-6276
Phone
(480) 814-0266
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen Sharifi, RT
Title
Administartor
Phone
(480) 530-0111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular-Interventional Technology Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C1101X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

77 S Dobson Rd Ste 2
Chandler, AZ 85224-6276

Mailing address

PO Box 6100
Chandler, AZ 85246-6100
Phone (480) 530-0111

Other names 1

  • SOL VALLEY SURGERY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140325001940 AZ Part B Supplier - Clinic/Group Practice 3274764816 Receives reassigned benefits from 10 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gilbert, AZ; Chandler, AZ
O20200930003227 AZ Part B Supplier - Ambulatory Surgical Center 8729407390 Practice locations: Chandler, AZ

Ambulatory surgical center certification: CCN 03C0001424

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Sol Valley Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 5, 2021
Last certification
Feb 5, 2021
Ownership / control type
Proprietary
Facility address
77 South Dobson Road, Suite 2
Chandler, AZ 85224

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2192877SNKS Enterprises LLC77 S Dobson Rd, Suite 2, Chandler, AZ 85224AccreditationMar 1, 2028

National Provider Directory

National Provider Directory

Locations

655 S Dobson Rd
Ste 105
Chandler, AZ 85224

77 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 814-0266

2487 S Gilbert Rd
Gilbert, AZ 85295
Phone (480) 722-5386

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1497367262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466100",
            "telephone_number": "480-530-0111",
            "fax_number": "480-530-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S DOBSON RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246276",
            "telephone_number": "480-814-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNKS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "SHARIFI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "480-530-0111",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "2471C1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOL VALLEY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.